Death Certificate of Pope, Jennie Edna

Narrative summary of the form data:

Jennie Edna Pope, age 34, was born 13 Jun 1896 in Southampton Co., Va.
to Henry Pope and Fannie Vick. She was married to Junius O. Pope. She
died 19 Jun 1930 in Capron, Southampton Co., Va. from a gall bladder
infection. Her residence was Capron, Va.

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| Field                                                       | Value                        |
|-------------------------------------------------------------|------------------------------|
| 1. PLACE OF DEATH                                           | Southampton Capron           |
| 2. FULL NAME                                                | Jennie Edna Pope             |
| 3. (a) RESIDENCE                                            | (blank)                      |
| 4. Length of residence in city or town where death occurred | (blank)                      |
| 5. PERSONAL AND STATISTICAL PARTICULARS                                                    |
| 6. SEX                                                      | Female                       |
| 7. COLOR OR RACE                                            | White                        |
| 8. SINGLE, MARRIED, WIDOWED, OR DIVORCED                    | Married                      |
| 9. IF MARRIED, WIDOWED, OR DIVORCED HUSBAND OF (OR) WIFE OF | Junius O. Pope               |
| 10. DATE OF BIRTH (Month, day, and year)                    | June 13, 1896                |
| 11. AGE                                                     | 34                           |
| 12. OCCUPATION OF DECEASED                                  | House wife                   |
| 13. BIRTHPLACE                                              | Southampton Co. Va.          |
| 14. NAME OF FATHER                                          | Henry Pope                   |
| 15. BIRTHPLACE OF FATHER                                    | Southampton Co. Va.          |
| 16. MAIDEN NAME OF MOTHER                                   | Fannie Vick                  |
| 17. BIRTHPLACE OF MOTHER                                    | Southampton Co. Va.          |
| 18. INFORMANT                                               | Junius E. Pope               |
| 19. ADDRESS (of informant)                                  | Capron, Va.                  |
| 20. FILED                                                   | June 20, 1930                |
| 21. REGISTRAR                                               | J. H. Story                  |
| 22. MEDICAL CERTIFICATE OF DEATH                                                           |
| 23. DATE OF DEATH                                           | June 19, 1930                |
| 24. I HEREBY CERTIFY, THAT I ATTENDED DECEASED FROM         | June 13, 1930 to June19,1930 |
| 25. THAT I LAST SAW HER ALIVE ON                            | June 18, 1930                |
| 26. AND THAT DEATH OCCURRED, ON THE DATE STATED ABOVE, AT   | 8 a.m.                       |
| 27. THE CAUSE OF DEATH WAS AS FOLLOWS                       | Gall blader infection        |
| 28. (DURATION)                                              | 124                          |
| 29. CONTRIBUTORY (SECONDARY)                                | (blank)                      |
| 30. (DURATION)                                              | (blank)                      |
| 31. WHERE WAS DISEASE CONTRACTED IF NOT AT PLACE OF DEATH   | (blank)                      |
| 32. DID AN OPERATION PRECEDE DEATH                          | (blank)                      |
| 33. DATE OF                                                 | (blank)                      |
| 34. WAS THERE AN AUTOPSY                                    | (blank)                      |
| 35. WHAT TEST CONFIRMED DIAGNOSIS                           | (blank)                      |
| 36. (SIGNED)                                                | J. N. Applewhite             |
| 37. ADDRESS                                                 | Capron                       |
| 38. DATE SIGNED                                             | July 3, 1930                 |
| 39. PLACE OF BURIAL, CREMATION, OR REMOVAL                  | Boykins Cemetery             |
| 40. DATE OF BURIAL, CREMATION, OR REMOVAL                   | June 20, 1930                |
| 41. UNDERTAKER                                              | J. M. Holland                |
| 42. ADDRESS (of undertaker)                                 | Franklin, Va.                |
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